<table cellspacing="0" cellpadding="0" class="grid" id="tableLabResultMeta">
	<tbody>
		<tr>
			<td style="width: 150px;" class="form_label">{translate}Treatment doctor{/translate}</td>
			<td style="width: 190px;" class="form_input"><span>{$treatmentDoctorName}</span></td>
			<td style="width: 150px;" class="form_label">{translate}Modified{/translate}</td>
			<td style="width: 190px;" class="form_input"><span>{$modified}</span></td>
		</tr>
		<tr>
			<td class="form_label">{translate p1=1}Dr/Technician %s{/translate}</td>
			<td class="form_input">
			     <select id="technicianId1" tabindex="2" style="width: 100%;" >
			         <option value="0" selected="selected">--{translate}Select{/translate}--</option>
			         {html_options options=$techList selected=$technicianId1}
			     </select>
			</td>
			<td class="form_label">{translate}Place{/translate}</td>
			<td class="form_input">{translate}Laboratory department{/translate}</td>
		</tr>
		<tr>
			<td class="form_label">{translate p1=2}Dr/Technician %s{/translate}</td>
			<td class="form_input">
			     <select id="technicianId2" tabindex="2" style="width: 100%;" >
			         <option value="0" selected="selected">--{translate}Select{/translate}--</option>
                     {html_options options=$techList selected=$technicianId2}
                 </select>
            </td>
			<td class="form_label">{translate}Machine{/translate}</td>
			<td class="form_input"><input id="machine" type="text"
				tabindex="7" style="width: 97%;" value="{$machine}"/></td>
		</tr>
		<tr class="last">
			<td class="form_label">{translate}Diagnosis{/translate}</td>
			<td class="form_input"><span>{$diagnosis}</span></td>
			<td class="form_label">{translate}Sample{/translate}</td>
			<td class="form_input"><input type="text" tabindex="8"
				style="width: 97%;" value="{$sample}" readonly="readonly"/></td>
		</tr>
	</tbody>
</table>